| ADMISSION Form / Examination Form |
| 1. Registration Details / पंजीयन का विवरण * अनिवार्य फ़ील्ड्स (Mandatory fields) |
| Courses / पाठ्यक्रम * |
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| Student full name / आवेदक का पूरा नाम * |
(Full name as per the highest / latest qualification certificate or legal certificate)
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| Father's Name / पिता का नाम * |
(Full Name As Per Educational/Legal Certificate )
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| Mother's Name / माता का नाम * |
(Full Name As Per Educational/Legal Certificate)
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| Date of Birth / जन्म दिनांक * (dd-Mon-yyyy) |
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(As per high school certificate in 'dd-Mon-yyyy' format. i.e. '01-Jan-1990' )
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| Category / श्रेणी * |
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| Gender / लिंग * |
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| Address / पता * |
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| Pin Code / पिन कोड * |
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| State / राज्य * |
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| Email Address / ईमेल पता |
(e.g.abc@yahoo.com)
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| Mobile Number / मोबाइल नंबर * |
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| Academic Qualification / शैक्षिक योग्यता * |
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| Center Code / केंद्र कोड * |
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| Voter ID#/Adhaar ID#/PAN # /मतदाता आईडी # / आधार आईडी # / पैन # * |
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| Exam Mode / परीक्षा मोड * |
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| Examination Center / परीक्षा केंद्र * |
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| Study Mode / अध्ययन मोड * |
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| Upload Photo / फोटो अपलोड करें * |
(JPG,JPEG,GIF,PNG image with size upto 50 KB)
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| Upload Student Signature / छात्र के हस्ताक्षर अपलोड करें * |
(JPG,JPEG,GIF,PNG image with size upto 50 KB)
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| Highest Qualification Document / उच्चतम योग्यता दस्तावेज * |
(JPG,JPEG,GIF,PNG image with size upto 50 KB)
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| Declaration / घोषणा * |
I, hereby declare that the particulars submitted by me in the online application form of SCEG are true to the best of my knowledge and belief. I agree to abide by the rules and regulations of SCEG and also to the decision of SCEG regarding any action. I will not held SCEG responsible for any damages. I hereby accept that ,if the number of Candidates are less than minimum required, SCEG can move my registration to the Second Preference City even after I submit the consent to First Preference City.
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